Which pain scale is appropriate for children ages 3 to 13 years?
1) Color Tool
2) FACES Pain Rating Scale
3) Oucher
4) Poker Chip Tool
ANS: 3
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The nurse working in home care is about to knock on the client's door when shouting is heard through the door
The client and spouse are shouting at each other, and the nurse hears the spouse tell the client to put the gun down before someone gets hurt. The nurse's priority action is to: 1. Enter the apartment and help the spouse calm the client. 2. Call the police and put some distance between the nurse and the apartment. 3. Call the police and wait for them by the door of the apartment. 4. Go to the next client to be seen and notify the agency why this client wasn't visited.
A salesman has had difficulty holding a job because he accuses co-workers of conspiring to take his sales. Today, he argued with several office mates and threatened to kill one of them
The police were called, and he was brought to the mental health center for evaluation. He has had previous admissions to the unit for stabilization of paranoid schizophrenia. When the nurse meets him, he points at staff in the nursing station and states loudly, "They're all plotting to destroy me. Isn't that true?" Which would be the most appropriate response? a. "No, that is not true. People here are trying to help you if you will let them.". b. "Let's think about it: what reason would people have to want to destroy you?" c. "Thinking that people want to destroy you must be very frightening.". d. "That doesn't make sense; staff are health care workers, not murderers.".
The PACU nurse is using the postanesthetic scoring system to determine if a patient is ready to be discharged home after a same-day surgery. The nurse would determine the patient to be ready when the score reaches _______
Fill in the blank(s) with correct word
A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
a. The patient has multiple dysplastic nevi. b. The patient is fair-skinned and has blue eyes. c. The patient's mother died of a malignant melanoma. d. The patient uses a tanning booth throughout the winter.